Individual
MRS. JACQUELYN JEAN HOVIS
Active
Individual
MRS. JACQUELYN JEAN HOVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5011486
NC
363LF0000X
Family Nurse Practitioner
Primary
5011486
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124498878
—
NC
01
—
14424377
CAQH
—
01
—
145314
REGISTERED NURSE LICENSE
NC
01
—
5011486
NURSE PRACTITIONER LICENSE
NC
Enumeration date
10/06/2015
Last updated
01/02/2026
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